2004-619 Betty Beavers Truck Stop TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040619 Application Number: A20040619
Tax Map No: 523400-301-008-0001-019-000-0000
Permission is hereby granted to: BETTY BEAVERS TRUCK STOP
For property located at: 330 AVIATION Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: LEEMILT'S PETROLEUM INC Sign
C/O GETTY PETROLEUM MARKE' Total Value
1500 BEMSTEAD Tpke
EAST MEADOW, NY 11554-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-619 BETTY BEAVERS TRUCK STOP &DINER
25 SQ FT WALL SIGN
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To of Queens ury; Monday,August 30, 2004
.,a
SIGNED.BY for the Town of Queensbury.
Director of Build' Co nforcement
r>
TOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:
518 761-8256 Permit #: 4—�/ 9
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign.
3. Written consent of/t the
,owner of the building or land.
OWNER OF PROPERTY
ADDRESS ]gyp zl 1p�` s( IQ T' 1 I��- TEL.
NAME OF APPLICANTnn _ ���
ADDRESS K�w�S ,�? � .-�RJR ,�dc!� lV.�� 1��Z d TEL.��l ')' - Gl
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing Y Permanent Projecting i� ' 9
Temporary Non-conforming Existing ��q� ��ov
Free-Standing Wall New
Location: Tax Map Number
Address `
- CIA,,
Proposed Setbacks from Property Line (front) _ (side) _ tG�
If sign is to be illuminated, please check appropriate box: ��
Internal k) , External ( ) , Incadescent ( ) , Neon ( ) , Other ( ) �� 'Vol
Size of Sign: Width ft. Length ft. 0
Total Square Footage: 0�5
SL
�A J
Sign Copy: _n S �
LU
Color and Material To B ed: G�r
Signature:
Circle One: Appli nt, owner, cont ctor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
AuQ L1-2004..-07:leam `:From-NATIONWIDE TRANSPORTATI.OLV BRO�ERS�INC -5166534326:--- T=282 P-.002/002__F 315=
TOWS OF Q[,TIrENSBURY ---
nie 742 y Road, caeensb - Approved Qy__ -
IIn6 Q ury; NY 12804. - -
(518) 76118256 Permit
S191 PEIMI7 APPLICA' is
THE FOLLOWING INFORMATION IS REQUIRED:
-- 1� -Detailed dr wing -or -
2. Plot plan OF location of sign.
3. Written con ent of the owner of the building or land.
OW U OF PROPERTY
AD IRESS
ad
NA 9E OF APPLICANT
AD IR'ESS . MI11k Il, „ 141c2 a TEL S Strjp�al
BU ;I MESS NAME IF DIFFERENT.,
TYPE AND LOCATION
Ch !rk What Applies: Existing Permanent !c' Projecting Sign
Temporary Non-conforming E 1Stir7g
Free-Standing WaI New Y
Lva ti on: Tax Mao N mber
Address �+, ;,; r
Proposed etbacks from Property Line (front) (side)
If sign is to be ill minuted, please check appropriate box:
Internal External ( -), -Incadescent O, Neon O, Other ( ) ---
Si: a of Sign: Width Jr ft, Length_ _ ft.
Total Square Footage;
Sir,rl Copy: 01J 6L
Col a and Material T ed:
Si( nLIture:
rc a One: AppliVnt, owner, coot :tor or. agent.
Z HEREBY AUTHpRZ E APPLICANT TO PLACE A S OP! N1t' PROPERTY DR BUiLOINO.
�_Sid,0rdture of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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